Because the COVID-19 state of affairs world wide adjustments, CDC is monitoring COVID-19 threat in every nation and making journey suggestions. In case you are contemplating worldwide journey, see CDC’s COVID-19 Journey Suggestions by Vacation spot.
- Measles is a threat in lots of elements of the world, together with Africa.
- Some nations in Africa are reporting elevated numbers of instances (outbreaks) of measles.
- All vacationers to Africa, together with infants and pre-school aged youngsters, must be absolutely vaccinated towards measles, in line with CDC immunization schedules.
Brought on by a extremely contagious virus, measles spreads from individual to individual by respiration, coughing, or sneezing. Indicators and signs of measles embrace rash, excessive fever and a cough, runny nostril, or pink, watery eyes. Individuals can unfold measles as much as 4 days earlier than and 4 days after they’ve a rash. Measles can result in critical problems, comparable to pneumonia (an infection of the lungs), and even demise.
What’s the present state of affairs?
Measles is an ongoing threat world wide. In Africa, well being officers within the nations listed under have reported measles outbreaks, that means the variety of measles instances is increased than regular. All vacationers to Africa, together with infants and pre-school aged youngsters, must be absolutely protected towards measles, particularly when going to
- Central African Republic
- Democratic Republic of the Congo
- South Sudan
Bear in mind that locations reporting measles outbreaks are usually not the one locations the place an infection is a threat. Areas the place measles is widespread might have many instances however not be thought-about to have an outbreak. Measles may also unfold in airports, on public transportation, and at vacationer points of interest. Thus, it’s crucial for vacationers to be protected towards measles, no matter vacation spot.
What can vacationers do to guard themselves and others from measles?
Make certain that you and your journey companions (infants 6 months of age and older, youngsters, and adults) are absolutely protected towards measles earlier than any abroad journey.
Vaccination with a measles-containing vaccine is the easiest way to just remember to are protected. There are two measles-containing vaccines accessible in america: measles, mumps, and rubella (MMR) for these aged 6 months and older, and measles, mumps, rubella & varicella (MMRV) vaccine for youngsters aged 1 by way of 12 years. In case you are 12 months of age or older you want two doses of measles vaccine to be absolutely protected. Infants 6 by way of 11 months of age ought to obtain one dose of vaccine, although this dose doesn’t depend as the primary dose within the routine childhood vaccination collection. You might be additionally protected when you have laboratory affirmation of a previous measles an infection or in the event you have been born earlier than 1957.
In case you are undecided in the event you or your journey companions are absolutely protected towards measles, schedule an appointment to see your healthcare supplier at the least one month earlier than touring so that you’ve got sufficient time to get vaccinated.
Some individuals shouldn’t get a measles-containing vaccine or ought to wait. In case you don’t assume you’ll be able to safely obtain a measles-containing vaccine, discuss to your physician and take into account making different journey plans.
What can clinicians do?
A self-report of a vaccination or illness historical past isn’t satisfactory proof of safety. Vaccinate any traveler 6 months of age or older going abroad who doesn’t have written documentation of vaccination or different presumptive proof of measles immunity.
Present measles vaccine to abroad vacationers in line with CDC’s suggestions:
- Infants (6 by way of 11 months outdated). Give one dose of measles-mumps-rubella (MMR) vaccine. This dose doesn’t depend as the primary dose within the routine childhood vaccination collection.
- Individuals 12 months outdated or older, with out different presumptive proof of measles immunity. Give two appropriately spaced doses of measles-containing vaccine. For MMR, this implies administering the second dose at the least 28 days after the primary. For MMRV, this implies administering the second dose at the least 3 months after the primary.
- Individuals 13 months or older who’ve written documentation of 1 dose and no different presumptive proof of measles immunity. Give one further dose of measles-containing vaccine earlier than journey.
Think about measles when evaluating sufferers with fever and rash, particularly those that have just lately traveled abroad or who’ve shut contacts who’ve just lately traveled.